纰茬惰虹崇郴锛

杩跺板ソ澶淇￠茬惰虹锛烘锛涓虹茬惰虹釜姣杈灏瑙绫诲锛涓灞浜瀵浜虹锛涔灏辨杈惧藉姣灞涓藉楂锛杈惧藉涔1.3锛灞涓藉涔0.4

浣瀹涓圭癸ㄩ澹勾涓锛30~40澶宀锛锛ㄥコт腑楂锛75%锛锛杩跺戒澶凤姝ゆ浠父板勾杞讳汉锛灏ゅ舵勾杞诲コу茬惰虹浜锛姣濡涔涔涓妤

ㄤ茬惰虹ｈ伴村ㄥ锛ㄤ腑戒1970骞村濮2014骞寸炕浜寰澶杩板负浠涔锛杩ˉ纰充锛

娌绘楂锛娌℃涔涓锛

棣宠璇澶у茬惰虹涔涓娲荤娌绘楂锛娌℃涔涓锛茬惰虹ㄧ斤娌绘瓒杩90%锛ㄥ藉涔杩85%锛濡勾杞讳汉锛涓寰╃璇锛娌绘涔100%甯稿绗璇村╂琚瀹舵板洪涓衡姹♀浜浜虹被澹般

茬惰虹棰姝や濂斤瀵艰磋娌′涔磋叮涓涓虹茬惰虹绌舵拌涓烘蹇句拌冻澶浜烘ユ跺

茬惰虹娌绘姝や楂锛瀵艰存瑰茬惰虹稿崇卞浜锛姣濡妤2005骞磋负茬惰虹涓浠璐ヤ锛杩澶哄浜ゥ杩浼! 90%宸茬惰虹ｈ藉浠ラ插板璇ㄥ寸浜猴浜锛

浠ュ琚负茬惰虹锛灏ゅ舵富娴涔冲ご舵婊ゆ场朵锛ㄩㄧ茬惰虹澶х害90%锛锛涓娌℃杞Щ璇锛涓ㄧ瑰蹇ㄧН蹇锛濂藉ソ娌荤灏辫浜

茬惰虹绱锛琛ョ杩搴筹

扮涓烘锛姝ｅ凡缁璇茬惰虹稿崇绱瀵ュ涓や釜锛

绗锛跨舵拌灏杩娓妤茬惰虹稿崇绱

ㄦユ箍宀锛垮瀛寮硅桨革ㄤ板灏璇鸿╂哥电娉婕浠跺寰澶跨骞稿锛浣浠浠腑寰澶浜烘骞村藉浜茬惰虹澶锛涓灏跨ｈㄦ不杩绋涓浼伴剧锛杩ㄥ灏澶骞村杈楂椋╀寰茬惰虹锛缁澶у板浠ユ不锛

骞冲父荤妫ワ姣濡X锛CTPET锛惧ц浣澶锛茬惰虹椋╄涓纭锛浣涓轰瀹跨搴璇ュ敖藉惧ф娴锛濡蹇锛搴璇ヤ娇ㄤ褰卞缁浣[1]

绗锛浼绱茬惰虹涓绉姣杈灏瑙锛涓姣杈舵х浜绉风杩绉浜涓杩50%芥涓RET哄绐锛朵腑澶ф15%浼х锛澶35%ぉ绐

RET绐楂风茬惰虹ㄤ缁娌荤规澶у楂锛姝ら瀵RET绐哄跺╁伴瑙变跺т濂斤ㄨ澶эㄥ轰RET跺ㄤ复搴娆浣筹浠ラ村ソ颁浠ｇRET跺

充ュ茬惰虹崇郴锛浠朵‘浣浜绌惰缂轰涓杩澧茬惰虹椋╋涓昏璇涓姣杈缂虹版癸姣濡涓涓锛茬惰虹姣娴风版规撮澶锛缂虹瀵艰寸茬惰鸿垮ぇｈ锛浠ュ茬惰虹姒撮

娌℃浠讳璇ˉ纰杩搴澧茬惰虹姒

浜鸿甯轰や锛涔涓锛璇存藉宸茬拌ˉ纰澶涓濂戒锛璺璁″蹭凤涓璁ら锛浣ㄥ峰蜂慨广杩绉磋璁烘病绉瀛

甯轰涔浠ユ涓锛涓昏纰撮锛寰澶ㄧ版规病蹇瑕纰锛姣濡娉¤锛锛浜哄椤诲浣椋╋姣濡茬惰虹浜哄ㄥ澶纰131娌荤锛锛浜哄纰杩绛绛

茬惰虹娌荤锛惧х131娌荤蹇瑕涔锛

寰澶茬惰虹娌荤芥"涓涓"濂椁锛茬惰烘+茬惰烘绱+纰131惧娌荤

茬惰虹娌荤浠ユ负涓伙剧寰灏浣跨ㄣ涔浜洪戒涓绋搴茬惰哄ゆ哄わ茬惰鸿ㄥゆ茬惰哄ㄥ锛濡娣宸寸杞Щ锛杩浼娣宸寸娓濡寰濂斤寰澶茬惰虹灏卞浠ヨ娌绘锛姝ら╀涓缁澶绉荤甯稿抽

茬惰烘绱负浜寮ヨˉ茬惰哄ゅ韩婵绱缂哄け锛姝ゆ病ョ

姣杈浜璁惧х131娌荤锛澶у涓拌惧х╄川锛瑙寰寰ｄ纰131板ワ杩绉娌荤蹇瑕涔锛

纰131己惧у绱锛娴搴楂锛灏辫界存姝荤浣99%纰借茬惰虹告讹澶扮茬惰虹缁涔淇浜杩涓规с姝わㄧ茬惰哄凡缁ゅ娉ㄥ纰131缁澶у伴戒ㄧ茬惰虹缁ｉ瀵锛存姝荤缁璇寸戒锛纰131娌荤跺灏辨涓瑰ч甯稿己寰剧锛变跺缁涓告剁锛姝ゅㄥ

浣涓茬惰虹浜洪介瑕ㄧ131

濡变绉锛娉褰诲娓ょ茬惰虹缁锛缁宸茬浜杞Щ锛娉わｄ纰131娌荤寰濂界浣浠ユ捐澶缇界茬惰哄纰131娌荤ㄥㄦ锛灏ゅ舵杞Щ茬惰虹浜轰

浣濡茬惰虹╂锛浣绉灏<1cm锛锛涓娌℃杞Щ锛ｄ氨芥不锛纰131娌荤蹇瑕浠舵浜璁杩涓ㄤ腑藉缇介芥病瀹璁恒

涔浠ヤ榧辩茬纰131锛变浼缁剧镐技锛惧х131娌荤浼ュ井澧浜轰互借[2]剁戒椤归瀵20骞撮1129浣茬惰虹ｈ缁璁″锛濡川锛ㄤ浣跨ㄧ131娌荤典锛╂茬惰虹浜虹瀛娲荤宸茬杈97%[3]

变涓榛崇界浜锛姝ゅ勾杞荤茬惰虹ｈ瀹跺瑕ㄦ琛¤涓ゆ归㈢椋╋涓绘不荤璁ょ璁ㄨ繁浣哄冲

琛ョ杩凤瀵瑰ュ悍褰卞锛

纰杩浜轰ュ悍褰卞锛跺涓撅涓衡ㄩｅ北ｈ竟锛娴风ｈ竟锛涓缇ゆユ汉锛姝ゅ搴璇ユ姝澹帮

ユ汉风卞娴烽锛灏ゅ舵寮捣伙姝や浠钩姣ぉョ纰甯告浜猴ララ涓绗涓缁缁浜烘ぉ纰150~200寰锛浣ユ汉娴蜂骇锛姣ぉラ负1000~3000寰锛肩6~20[4]锛瀵圭绌跺纰杩ヨ锛浠浠氨濂界灏介

涓戒汉濡瑕纰锛姣涓20寰纰锛ュユ汉涓峰纰锛瑕姣ぉ50~150锛榻锛璇ュ璇hu锛姝讳浜瀹涓锛涓戒汉姣ぉョ12宸

ユ涓糕缇や挎ヨ涔澶纰锛缁

ユ涓骞冲瀵垮芥跨藉锛涓寰澶绉锛姣濡虹涔宠虹捐浣跺杈惧藉锛骞朵茬惰虹涔骞舵病瑰

杩褰朵寰澶纰介垮浣姒浣杩冲琛ㄦ杩椋╄ョ瀵瑰ュ悍浜鸿韩浣褰卞甯告

褰讹跺浠讳寰绱缁寸绱涓凤纰澶浜娌″ュソ澶澶╁ぉ澶崇浜轰ㄤㄨˉ锛澶╁ぉ娴烽浜轰涓ㄦ琛ョ

椋ㄧ杩浜哄奖寰灏浣瀹瀵圭规浜虹兢纭藉璧蜂浜锛姣濡瀵逛茬惰烘鸿芥韩缂洪凤渚濡韩х茬惰虹浜烘ヨ锛ュお澶纰浼剧

讹瀛濡瑕娉ㄦ濡挎ョ杩澶锛藉存扮库跺澶╂х茶轰解锛ユ扮夸腑杩绉姣杈澶锛杩浠ョ瑙ｄ负濡濡纰澶锛缁夸搴浜寰澶ラ瑕茬惰哄涓瑗匡垮氨寰茬茬惰哄戒浣濡濡浠涓ㄦ锛杩剁锛骞朵涓ラ锛缁澶у颁瑕规娌荤锛濠村垮虹㈡㈣繁灏变㈠[4]

讳锛涓藉ぇ浜烘涓缂虹锛涓纰澶涓逛娌′匡浠ユ瑙寰瑕韩娌℃茬惰虹稿崇剧锛骞虫剁澶灏涓圭璋

涓焊涓讳涓娆′拱涓よ锛涓涓纰锛涓涓纰锛㈢ュ

锛浣锛锛娓ぇ瀛╃郴锛缇芥澶у╁澹ㄦ璺ㄥ借浠拌锛

璧

[1] http://www.cancer.org/cancer/thyroidcancer/detailedguide/thyroid-cancer-risk-factors

[2] The results of selective use of radioactive iodine on survival and on recurrence in the management of papillary thyroid cancer, based on Memorial Sloan-Kettering Cancer Center risk group stratification. Thyroid. 2013 Jun; 23(6): 683-94.

[3]Second primary malignancy risk after radioactive iodine treatment for thyroid cancer: a systematic review and meta-analysis. Thyroid. 2009 May;19(5):451-7.

[4]Assessment of Japanese iodine intake based on seaweed consumption in Japan: A literature-based analysis. Thyroid Res. 2011.